High obesity incidence in northern Sweden: How will Sweden look by 2009?
- First Online:
- 74 Downloads
The study objective was to evaluate the incidence of overweight and obesity in two rural areas of Sweden and the U.S. Previously collected data were used from 1990 to 1999 Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) studies in northern Sweden. Health censuses of adults in Otsego County, New York were collected in 1989 and 1999. Adults aged 25–64 year in 1989 with reports from both surveys were included. The 10-year change in body mass index (BMI), overweight (BMI 25–29.9 kg/m2) and obesity (BMI ≥ 30) were obtained from panel studies. Incidences of overweight and obesity were calculated and compared between countries. The 10-year incidence of obesity was 120/1000 in Sweden and 173/1000 in the U.S. (p<0.001 for difference between countries). In 1999, prevalence of obesity rose to 18.4% (Sweden) and 32.3% (U.S.). Cumulative distribution curves show that the BMI distribution in Sweden during 1999 is nearly identical to the U.S. during 1989. The obese proportions of these rural populations increased from 1989 to 1999. Sweden’s obesity epidemic has a progression similar to that of the U.S., implying that by 2009, the prevalence of obesity in rural northern Sweden may mimic that present in rural New York during 1999. Attention should be paid to the increased obesity rates in rural areas.
KeywordsBody mass index Obesity Sweden/epidemiology United States/epidemiology
body mass index
Multinational Monitoring of Trends and Determinants in Cardiovascular Disease
World Health Organization
Unable to display preview. Download preview PDF.
- 1.Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda: National Institutes of Health, 1998 September. Report No.: 98-4083Google Scholar
- 4.Health implications of obesity. National institutes of health consensus development conference statement. Ann Intern Med 1985; 103(6 (Pt 2)): 1073–1077Google Scholar
- 6.Sørensen TIA Obesity in the Scandinavian countries: Prevalence and developmental trends. Acta Med Scand 1988; 723(supplement): 11–16Google Scholar
- 8.Health in Sweden—Sweden’s Public Health Report 2001. In: Stockholm: Socialstyrelsen. The National Board of Health and Welfare, 2001Google Scholar
- 9.Weinehall L, Lewis C, Nafziger AN, Jenkins PL, Erb TA, Pearson TA, et al. Different outcomes for different interventions with different focus!—A cross-country comparison of community interventions in rural Swedish and US populations. Scand J Public Healt 2001; Suppl 56:46–58Google Scholar
- 11.Nafziger A, Weinehall L, Lewis C, Jenkins PL, Erb TA, Pearson TA, et al. Design issues in the combination of international data from two rural community cardiovascular intervention programs. Scand J Public Healt 2001; 29(Supplement 56): 33–39Google Scholar
- 14.Yax LK. Density using land area for states, counties, metropolitan areas, and places. In: U.S. Census Bureau, 2000Google Scholar
- 20.Nafziger AN, Erb TA, Jenkins PL, Lewis C, Pearson TA The Otsego-Schoharie healthy heart program: Prevention of cardiovascular disease in the rural US. Scand J Public Healt 2001; Suppl 56:21–32Google Scholar
- 21.Census 2000. In: http://www.census.gov/. U.S. Census Bureau, 2002Google Scholar
- 24.Bostrom G. Chapter 6. Habits of life and public health. Health in Sweden: The National Public Health Report 2001. Scand J Public Health 2001;Suppl 58:133–166Google Scholar
- 25.Statistics Sweden. In: Stockholm: Statistika Centralbryån, 2004Google Scholar
- 26.Statistisk Årsbok för Sverige 2005 (Statistical Yearbook of Sweden 2005). Stockholm: Statistics Sweden, 2004Google Scholar
- 27.Lucas J, Schiller J, Benson V Summary Health Statistics for U.S. Adults: National Health Interview Survey, 2001. Vital Healt Stat 2004; 10(218): 92–97Google Scholar
- 30.Public Health Objectives: Fact Sheet. Stockholm: Regeringskansliet (Swedish Ministry of Health and Social Affairs), 2003 JanuaryGoogle Scholar
- 33.Weinehall L G H, Boman K, Hallmans G Prevention of cardiovascular disease in Sweden: The Norsjö community intervention programme—motives, methods and intervention components. Scand J Public Healt 2001; 29(Supplement 56): 15–20Google Scholar